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PAS CO COUNTY FLORIDA <br /> Do <br /> ` •'` ..,� Date PeOnl <br /> f ? BullQer NamelOwner Name Control W - <br /> t <br /> i County Pamel No. 32-ZS 21-p loo. (�pp-ob SubDIV: Sr u Pr ti <br /> AddresslLocation 13[ er ru+�d L <br /> ClasslflcalloNrype of Usq got t i <br /> G <br /> TRANSPORTATION IMP � FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑No How Determined <br /> ! 3 . Zone No. TAZ: <br /> Impact Fee Amount 4 j <br /> j SCHOOL IMPACTFEE <br /> +. Account (058y Sklpie-F Ally Odtached House Amount S 7 r �0 5� <br /> (057) Mobus me <br /> (055) Oftilk sidential <br /> i 123) Collectlo i Fee ;r <br /> Exempt a Yea ❑No How Determined <br /> !! PARKS AND RECREATION FEE <br /> Land Account II land Credit Land Total <br /> Recreation Account Recreation Credit .Recrreatlon To/ttal <br /> Zone TOTAL AMOUNT <br /> I <br /> Exempt ❑Yea ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑Nc How Determined Total Amount_ I <br /> RESOURCE FEE , ERU <br /> TOTALAMOUNT <br /> Prepared By 'r Checked By <br /> NO CERTIFICATE, F OCCUPANCY WILL BEISSU.ED OR FINAL INSPECTION <br /> PERFow EO UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND ' <br /> _ RECEIPTED FOR I Y A CENTRAL PERMITTING OFFICSOF PASQO COUNTY <br /> Aotuwwtedp� 0 on t on noft of Ws RWM usewnentt andwftmenM thtM w4t ne of paym of a ent for urna..kM c <br /> laft <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />